Provider Demographics
NPI:1083411813
Name:HERNANDEZ ROVIRA, BARBARA B
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:B
Last Name:HERNANDEZ ROVIRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 1ST AVE SW APT 616
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-3380
Mailing Address - Country:US
Mailing Address - Phone:787-642-7837
Mailing Address - Fax:
Practice Address - Street 1:318 1ST AVE SW APT 616
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-3380
Practice Address - Country:US
Practice Address - Phone:787-642-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program